{"id":1070,"date":"2022-08-09T13:47:20","date_gmt":"2022-08-09T17:47:20","guid":{"rendered":"https:\/\/azurformulaire.com\/transport-request\/"},"modified":"2026-10-23T07:22:42","modified_gmt":"2026-10-23T11:22:42","slug":"transport-request","status":"publish","type":"page","link":"https:\/\/azurdeces.com\/en\/transport-request\/","title":{"rendered":"Transport request"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1070\" class=\"elementor elementor-1070 elementor-133\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7f954c8 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"7f954c8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0681c7e e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-child\" data-id=\"0681c7e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e807f01 elementor-widget elementor-widget-htwpform-addons\" data-id=\"e807f01\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"htwpform-addons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"htwpform_area\" >\n                <div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-132\"><form id=\"wpforms-form-132\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"132\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/1070\" autocomplete=\"nope\" data-token=\"2d3c7b7e68480cff081e5cc17771ef01\" data-token-time=\"1792861029\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">Transport request<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-132-field_13-container\" class=\"wpforms-field wpforms-field-divider wpforms-mobile-full\" data-field-type=\"divider\" data-field-id=\"13\"><h3 id=\"wpforms-132-field_13\">Declarant<\/h3><\/div>\t\t<div id=\"wpforms-132-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-132-field_2\" >Full the fun\u00e9raire<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-132-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-132-field_15-container\" class=\"wpforms-field wpforms-field-name wpforms-mobile-full\" data-field-type=\"name\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_15\">Full name of the declarant <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-132-field_15\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][15][first]\" placeholder=\"First name\" required><label for=\"wpforms-132-field_15\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First name<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-132-field_15-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][15][last]\" placeholder=\"Last name\" required><label for=\"wpforms-132-field_15-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Name<\/label><\/div><\/div><\/div><div id=\"wpforms-132-field_1-container\" class=\"wpforms-field wpforms-field-email wpforms-mobile-full\" data-field-type=\"email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_1\">Email<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-132-field_1\" class=\"wpforms-field-email-primary\" name=\"wpforms[fields][1][primary]\" placeholder=\"Email\" spellcheck=\"false\" ><label for=\"wpforms-132-field_1\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-132-field_1-secondary\" class=\"wpforms-field-email-secondary\" data-rule-confirm=\"#wpforms-132-field_1\" name=\"wpforms[fields][1][secondary]\" placeholder=\"Confirm email\" spellcheck=\"false\" ><label for=\"wpforms-132-field_1-secondary\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-132-field_23-container\" class=\"wpforms-field wpforms-field-phone wpforms-mobile-full\" data-field-type=\"phone\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_23\">Phone number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-132-field_23\" class=\"wpforms-field-large wpforms-field-required\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][23]\" placeholder=\"Phone number\" aria-label=\"Phone number\" required><\/div><div id=\"wpforms-132-field_22-container\" class=\"wpforms-field wpforms-field-html wpforms-mobile-full\" data-field-type=\"html\" data-field-id=\"22\"><div id=\"wpforms-132-field_22\"><br \/>\r\n<\/div><\/div><div id=\"wpforms-132-field_14-container\" class=\"wpforms-field wpforms-field-divider wpforms-mobile-full\" data-field-type=\"divider\" data-field-id=\"14\"><h3 id=\"wpforms-132-field_14\">Deceased<\/h3><\/div><div id=\"wpforms-132-field_11-container\" class=\"wpforms-field wpforms-field-name wpforms-mobile-full\" data-field-type=\"name\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_11\">Full name of deceased <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-132-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" placeholder=\"First name\" required><label for=\"wpforms-132-field_11\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First name<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-132-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" placeholder=\"Last name\" required><label for=\"wpforms-132-field_11-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Name<\/label><\/div><\/div><\/div><div id=\"wpforms-132-field_28-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_28\">Estimated weight <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-132-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required=\"required\"><option value=\"0\u2013100 lb\"  class=\"choice-4 depth-1\"  >0\u2013100 lb<\/option><option value=\"101\u2013150 lb\"  class=\"choice-5 depth-1\"  >101\u2013150 lb<\/option><option value=\"151\u2013200 lb\"  class=\"choice-6 depth-1\"  >151\u2013200 lb<\/option><option value=\"201\u2013250 lb\"  class=\"choice-7 depth-1\"  >201\u2013250 lb<\/option><option value=\"251\u2013300 lb\"  class=\"choice-8 depth-1\"  >251\u2013300 lb<\/option><option value=\"301\u2013350 lb\"  class=\"choice-9 depth-1\"  >301\u2013350 lb<\/option><option value=\"351\u2013400 lb\"  class=\"choice-10 depth-1\"  >351\u2013400 lb<\/option><option value=\"401\u2013450 lb\"  class=\"choice-11 depth-1\"  >401\u2013450 lb<\/option><option value=\"451\u2013500 lb\"  class=\"choice-12 depth-1\"  >451\u2013500 lb<\/option><\/select><\/div><div id=\"wpforms-132-field_31-container\" class=\"wpforms-field wpforms-field-divider wpforms-mobile-full\" data-field-type=\"divider\" data-field-id=\"31\"><\/div><div id=\"wpforms-132-field_26-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-mobile-full\" data-field-type=\"text\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_26\">Place of death (name of the hospital, name of the nursing home, at home, other) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-132-field_26\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][26]\" placeholder=\"Place of death\" required><\/div><div id=\"wpforms-132-field_27-container\" class=\"wpforms-field wpforms-field-address wpforms-mobile-full\" data-field-type=\"address\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_27\">Address of death <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-132-field_27\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][27][address1]\" placeholder=\"Address\" required><label for=\"wpforms-132-field_27\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-132-field_27-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][27][city]\" placeholder=\"City\" required><label for=\"wpforms-132-field_27-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-132-field_27-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][27][state]\" placeholder=\"Province\" required><label for=\"wpforms-132-field_27-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-132-field_27-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][27][postal]\" placeholder=\"Postal code\" required><label for=\"wpforms-132-field_27-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-132-field_27-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][27][country]\" required><option class=\"placeholder\" value=\"\" selected disabled>Country<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-132-field_27-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><div class=\"wpforms-field-description\"><p><strong>To avoid errors, please find your address with the Canada Post tool.<\/strong>\u00a0\u00a0<img decoding=\"async\" src=\"https:\/\/azurdeces.com\/wp-content\/uploads\/2022\/02\/Logo_Postes_Canada.svg-1.png\" width=\"97\" height=\"23\"\/><\/p><\/div><\/div><div id=\"wpforms-132-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first wpforms-mobile-full\" data-field-type=\"text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_29\">Place where the body can be picked up (name of the hospital or nursing home, at home, other.) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-132-field_29\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][29]\" placeholder=\"Place of death\" required><\/div><div id=\"wpforms-132-field_30-container\" class=\"wpforms-field wpforms-field-address wpforms-mobile-full\" data-field-type=\"address\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-132-field_30\">Address where the body can be picked up  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-132-field_30\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][30][address1]\" placeholder=\"Address\" required><label for=\"wpforms-132-field_30\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-132-field_30-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][30][city]\" placeholder=\"City\" required><label for=\"wpforms-132-field_30-city\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-132-field_30-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][30][state]\" placeholder=\"Province\" required><label for=\"wpforms-132-field_30-state\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-132-field_30-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][30][postal]\" placeholder=\"Postal code\" required><label for=\"wpforms-132-field_30-postal\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-132-field_30-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][30][country]\" required><option class=\"placeholder\" value=\"\" selected disabled>Country<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-132-field_30-country\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Country<\/label><\/div><\/div><div class=\"wpforms-field-description\"><p><strong>To avoid errors, please find your address with the Canada Post tool.<\/strong>\u00a0\u00a0<img decoding=\"async\" src=\"https:\/\/azurdeces.com\/wp-content\/uploads\/2022\/02\/Logo_Postes_Canada.svg-1.png\" width=\"97\" height=\"23\"\/><\/p><\/div><\/div><div id=\"wpforms-132-field_18-container\" class=\"wpforms-field wpforms-field-divider wpforms-mobile-full\" data-field-type=\"divider\" data-field-id=\"18\"><\/div><div id=\"wpforms-132-field_24-container\" class=\"wpforms-field wpforms-field-divider wpforms-mobile-full\" data-field-type=\"divider\" data-field-id=\"24\"><h3 id=\"wpforms-132-field_24\">Personal belongings<\/h3><\/div><div id=\"wpforms-132-field_34-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Communications par message texte (SMS) \u2014 facultatif<\/label><ul id=\"wpforms-132-field_34\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-132-field_34_1\" name=\"wpforms[fields][34][]\" 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La fr\u00e9quence des messages peut varier et des frais de messagerie ou de donn\u00e9es peuvent s\u2019appliquer. Je peux retirer mon consentement en tout temps en r\u00e9pondant STOP et obtenir de l\u2019aide en r\u00e9pondant HELP. Le consentement \u00e0 recevoir des messages texte est facultatif et n\u2019est pas une condition d\u2019achat ni une condition pour recevoir les services de Services fun\u00e9raires Azur incin\u00e9ration inc. Les donn\u00e9es d\u2019adh\u00e9sion aux messages texte et le consentement SMS ne sont pas partag\u00e9s avec des tiers.<\/div><\/div><div id=\"wpforms-132-field_32-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-type=\"gdpr-checkbox\" data-field-id=\"32\"><label class=\"wpforms-field-label\">By pressing the &quot;Submit&quot; button, I authorize Services fun\u00e9raire Azur incin\u00e9ration inc. to transmit and use all necessary information in accordance with the Privacy Policy and Confidentiality Policy.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-132-field_32\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-132-field_32_1\" name=\"wpforms[fields][32][]\" value=\"I agree\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-132-field_32_1\">I agree<\/label><\/li><\/ul><div class=\"wpforms-field-description\"><a href=\"https:\/\/azurdeces.com\/en\/privacy-policy\/\"onclick=\"window.open(this.href, 'mywin',\n'left=20,top=20,width=800,height=600,toolbar=1,resizable=0'); return false;\"> Privacy and confidentiality policy<\/a><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-132-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-132-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-132-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"132\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1792861029.c0e5306c5d9c63eea42992009277aaa2c6edbf3ef0d7061cbe02c9b3d0b097f4\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/azurdeces.com\/en\/wp-json\/wp\/v2\/pages\/1070\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-132\" class=\"wpforms-submit wpforms-mobile-full\" data-alt-text=\"In progress...\" data-submit-text=\"Next\" aria-live=\"assertive\" value=\"wpforms-submit\">Next<\/button><img decoding=\"async\" src=\"https:\/\/azurdeces.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->            <\/div>\n\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Requ\u00eate de transportVeuillez activer JavaScript dans votre navigateur pour remplir ce formulaire. D\u00e9clarant Nom complet du d\u00e9clarant *Pr\u00e9nomNomCourrielE-mailConfirmez l\u2019e-mailNum\u00e9ro de t\u00e9l\u00e9phone * D\u00e9funt(e) Nom complet du d\u00e9funt(e) *Pr\u00e9nomNomPoids estim\u00e9 *0 &#8211; 100 lbs101 &#8211; 150 lbs151 &#8211; 200 lbs201 &#8211; 250 lbs251 &#8211; 300 lbs301 &#8211; 350 lbs351 &#8211; 400 lbs401 &#8211; 450 lbs451 &#8211; 500 lbsLieu du d\u00e9c\u00e8s (Nom du centre hospitalier, nom du CHSLD, \u00e0 domicile, autre.) *Adresse du d\u00e9c\u00e8s *Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalPaysAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina FasoBurundiB\u00e9ninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (R\u00e9publique d\u00e9mocratique du)Cor\u00e9e (R\u00e9publique de)Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)Costa RicaCroatieCubaCura\u00e7aoC\u00f4te d\u2019IvoireDanemarkDjiboutiDominiqueEspagneEstonieEswatini (Royaume de)FidjiFinlandeFranceF\u00e9d\u00e9ration RusseGabonGambieGhanaGibraltarGrenadeGroenlandGr\u00e8ceGuadeloupeGuamGuatemalaGuerneseyGuin\u00e9eGuin\u00e9e \u00e9quatorialeGuin\u00e9e-BissauGuyaneGuyaneG\u00e9orgieG\u00e9orgie du Sud et \u00eeles Sandwich du SudHa\u00eftiHondurasHong KongHongrieIndeIndon\u00e9sieIrakIran (R\u00e9publique islamique d\u2019)Irlande (R\u00e9publique d\u2019)IslandeIsra\u00eblItalieJama\u00efqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKowe\u00eftLa R\u00e9unionLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacaoMac\u00e9doine du Nord (R\u00e9publique de)MadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)Moldova (R\u00e9publique de)MonacoMongolieMontserratMont\u00e9n\u00e9groMozambiqueMyanmarNamibieNauruNegara Brunei DarussalamNicaraguaNigerNig\u00e9riaNiueNorv\u00e8geNouvelle-Cal\u00e9donieNouvelle-Z\u00e9landeN\u00e9palOmanOugandaOuzb\u00e9kistanPakistanPalauPalestine (\u00c9tat de)PanamaPapouasie-Nouvelle-Guin\u00e9eParaguayPays-BasPhilippinesPolognePolyn\u00e9sie fran\u00e7aisePorto RicoPortugalP\u00e9rouQatarRoumanieRoyaume-Uni de Grande-Bretagne et d\u2019Irlande du NordRwandaR\u00e9publique arabe syrienneR\u00e9publique centrafricaineR\u00e9publique dominicaineR\u00e9publique d\u00e9mocratique populaire du LaosR\u00e9publique tch\u00e8queSahara occidentalSaint Barth\u00e9lemySaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-Martin (partie fran\u00e7aise)Saint-Vincent-et-les GrenadinesSainte-H\u00e9l\u00e8ne, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa am\u00e9ricainesSao Tom\u00e9 et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlov\u00e9nieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSu\u00e8deS\u00e9n\u00e9galTadjikistanTaiwan, R\u00e9publique de ChineTanzanie (R\u00e9publique-Unie de)TchadTerres Australes Fran\u00e7aisesTerritoire britannique de l\u2019oc\u00e9an IndienTha\u00eflandeTimor orientalTogoTokelauTongaTrinit\u00e9 et TobagoTunisieTurkm\u00e9nistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (R\u00e9publique bolivarienne du)VietnamWallis et FutunaY\u00e9menZambieZimbabwe\u00c9gypte\u00c9mirats arabes unis\u00c9quateur\u00c9rythr\u00e9e\u00c9tat de la cit\u00e9 du Vatican\u00c9tats-Unis d\u2019Am\u00e9rique\u00c9thiopie\u00cele Bouvet\u00cele Christmas\u00cele Maurice\u00cele Norfolk\u00cele de Man\u00celes Ca\u00efmans\u00celes Cocos (Keeling)\u00celes Cook\u00celes Falkland (Malvinas)\u00celes F\u00e9ro\u00e9\u00celes Heard et McDonald\u00celes Mariannes du Nord\u00celes Marshall\u00celes Pitcairn\u00celes Salomon\u00celes Turques et Ca\u00efques\u00celes Vierges (Am\u00e9ricaines)\u00celes Vierges (Britanniques)\u00celes de Svalbard et Jan Mayen\u00celes mineures am\u00e9ricaines\u00celes \u00c5landPays Afin d&#8217;\u00e9viter des erreurs, SVP trouver votre adresse avec l&#8217;outil de Poste Canada.\u00a0\u00a0 Lieu de prise en charge du corps (Nom du centre hospitalier, nom du CHSLD, \u00e0 domicile, autre.) *Adresse de prise en charge du corps *Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalPaysAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina FasoBurundiB\u00e9ninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (R\u00e9publique d\u00e9mocratique du)Cor\u00e9e (R\u00e9publique de)Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)Costa RicaCroatieCubaCura\u00e7aoC\u00f4te d\u2019IvoireDanemarkDjiboutiDominiqueEspagneEstonieEswatini (Royaume de)FidjiFinlandeFranceF\u00e9d\u00e9ration RusseGabonGambieGhanaGibraltarGrenadeGroenlandGr\u00e8ceGuadeloupeGuamGuatemalaGuerneseyGuin\u00e9eGuin\u00e9e \u00e9quatorialeGuin\u00e9e-BissauGuyaneGuyaneG\u00e9orgieG\u00e9orgie du Sud et \u00eeles Sandwich du SudHa\u00eftiHondurasHong KongHongrieIndeIndon\u00e9sieIrakIran (R\u00e9publique islamique d\u2019)Irlande (R\u00e9publique d\u2019)IslandeIsra\u00eblItalieJama\u00efqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKowe\u00eftLa R\u00e9unionLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacaoMac\u00e9doine du Nord (R\u00e9publique de)MadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)Moldova (R\u00e9publique de)MonacoMongolieMontserratMont\u00e9n\u00e9groMozambiqueMyanmarNamibieNauruNegara Brunei DarussalamNicaraguaNigerNig\u00e9riaNiueNorv\u00e8geNouvelle-Cal\u00e9donieNouvelle-Z\u00e9landeN\u00e9palOmanOugandaOuzb\u00e9kistanPakistanPalauPalestine (\u00c9tat de)PanamaPapouasie-Nouvelle-Guin\u00e9eParaguayPays-BasPhilippinesPolognePolyn\u00e9sie fran\u00e7aisePorto RicoPortugalP\u00e9rouQatarRoumanieRoyaume-Uni de Grande-Bretagne et d\u2019Irlande du NordRwandaR\u00e9publique arabe syrienneR\u00e9publique centrafricaineR\u00e9publique dominicaineR\u00e9publique d\u00e9mocratique populaire du LaosR\u00e9publique tch\u00e8queSahara occidentalSaint Barth\u00e9lemySaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-Martin (partie fran\u00e7aise)Saint-Vincent-et-les GrenadinesSainte-H\u00e9l\u00e8ne, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa am\u00e9ricainesSao Tom\u00e9 et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlov\u00e9nieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSu\u00e8deS\u00e9n\u00e9galTadjikistanTaiwan, R\u00e9publique de ChineTanzanie (R\u00e9publique-Unie de)TchadTerres Australes Fran\u00e7aisesTerritoire britannique de l\u2019oc\u00e9an IndienTha\u00eflandeTimor orientalTogoTokelauTongaTrinit\u00e9 et TobagoTunisieTurkm\u00e9nistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (R\u00e9publique bolivarienne du)VietnamWallis et FutunaY\u00e9menZambieZimbabwe\u00c9gypte\u00c9mirats arabes unis\u00c9quateur\u00c9rythr\u00e9e\u00c9tat de la cit\u00e9 du Vatican\u00c9tats-Unis d\u2019Am\u00e9rique\u00c9thiopie\u00cele Bouvet\u00cele Christmas\u00cele Maurice\u00cele Norfolk\u00cele de Man\u00celes Ca\u00efmans\u00celes Cocos (Keeling)\u00celes Cook\u00celes Falkland (Malvinas)\u00celes F\u00e9ro\u00e9\u00celes Heard et McDonald\u00celes Mariannes du Nord\u00celes Marshall\u00celes Pitcairn\u00celes Salomon\u00celes Turques et Ca\u00efques\u00celes Vierges (Am\u00e9ricaines)\u00celes Vierges (Britanniques)\u00celes de Svalbard et Jan Mayen\u00celes mineures am\u00e9ricaines\u00celes \u00c5landPays Afin d&#8217;\u00e9viter des erreurs, SVP trouver votre adresse avec l&#8217;outil de Poste Canada.\u00a0\u00a0 Effets personnels En raison de la situation actuelle entourant le coronavirus, il est maintenant de votre responsabilit\u00e9 de r\u00e9cup\u00e9rer les effets personnels du d\u00e9funt au lieu du d\u00e9c\u00e8s (ex: Centre hospitalier, Chsld, etc.) * D&#8217;accord En appuyant sur le bouton &quot;Soumettre&quot; J\u2019autorise Services fun\u00e9raire Azur incin\u00e9ration inc. \u00e0 transmettre et utiliser l\u2019ensemble des renseignements n\u00e9cessaires en conformit\u00e9 avec la Politique de protection des renseignements personnels et politique de confidentialit\u00e9. * D&#8217;accord Politique de protection des renseignements personnels et politique de confidentialit\u00e9Message Suivant<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_templately_pack_id":"","_templately_imported_at":"","_templately_source":"","_templately_import_session_id":"","footnotes":""},"categories":[],"class_list":["post-1070","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Transport request - Services fun\u00e9raires Azur incin\u00e9ration<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transport request - Services fun\u00e9raires Azur incin\u00e9ration\" \/>\n<meta property=\"og:description\" content=\"Requ\u00eate de transportVeuillez activer JavaScript dans votre navigateur pour remplir ce formulaire. D\u00e9clarant Nom complet du d\u00e9clarant *Pr\u00e9nomNomCourrielE-mailConfirmez l\u2019e-mailNum\u00e9ro de t\u00e9l\u00e9phone * D\u00e9funt(e) Nom complet du d\u00e9funt(e) *Pr\u00e9nomNomPoids estim\u00e9 *0 &#8211; 100 lbs101 &#8211; 150 lbs151 &#8211; 200 lbs201 &#8211; 250 lbs251 &#8211; 300 lbs301 &#8211; 350 lbs351 &#8211; 400 lbs401 &#8211; 450 lbs451 &#8211; 500 lbsLieu du d\u00e9c\u00e8s (Nom du centre hospitalier, nom du CHSLD, \u00e0 domicile, autre.) *Adresse du d\u00e9c\u00e8s *Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalPaysAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina FasoBurundiB\u00e9ninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (R\u00e9publique d\u00e9mocratique du)Cor\u00e9e (R\u00e9publique de)Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)Costa RicaCroatieCubaCura\u00e7aoC\u00f4te d\u2019IvoireDanemarkDjiboutiDominiqueEspagneEstonieEswatini (Royaume de)FidjiFinlandeFranceF\u00e9d\u00e9ration RusseGabonGambieGhanaGibraltarGrenadeGroenlandGr\u00e8ceGuadeloupeGuamGuatemalaGuerneseyGuin\u00e9eGuin\u00e9e \u00e9quatorialeGuin\u00e9e-BissauGuyaneGuyaneG\u00e9orgieG\u00e9orgie du Sud et \u00eeles Sandwich du SudHa\u00eftiHondurasHong KongHongrieIndeIndon\u00e9sieIrakIran (R\u00e9publique islamique d\u2019)Irlande (R\u00e9publique d\u2019)IslandeIsra\u00eblItalieJama\u00efqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKowe\u00eftLa R\u00e9unionLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacaoMac\u00e9doine du Nord (R\u00e9publique de)MadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)Moldova (R\u00e9publique de)MonacoMongolieMontserratMont\u00e9n\u00e9groMozambiqueMyanmarNamibieNauruNegara Brunei DarussalamNicaraguaNigerNig\u00e9riaNiueNorv\u00e8geNouvelle-Cal\u00e9donieNouvelle-Z\u00e9landeN\u00e9palOmanOugandaOuzb\u00e9kistanPakistanPalauPalestine (\u00c9tat de)PanamaPapouasie-Nouvelle-Guin\u00e9eParaguayPays-BasPhilippinesPolognePolyn\u00e9sie fran\u00e7aisePorto RicoPortugalP\u00e9rouQatarRoumanieRoyaume-Uni de Grande-Bretagne et d\u2019Irlande du NordRwandaR\u00e9publique arabe syrienneR\u00e9publique centrafricaineR\u00e9publique dominicaineR\u00e9publique d\u00e9mocratique populaire du LaosR\u00e9publique tch\u00e8queSahara occidentalSaint Barth\u00e9lemySaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-Martin (partie fran\u00e7aise)Saint-Vincent-et-les GrenadinesSainte-H\u00e9l\u00e8ne, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa am\u00e9ricainesSao Tom\u00e9 et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlov\u00e9nieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSu\u00e8deS\u00e9n\u00e9galTadjikistanTaiwan, R\u00e9publique de ChineTanzanie (R\u00e9publique-Unie de)TchadTerres Australes Fran\u00e7aisesTerritoire britannique de l\u2019oc\u00e9an IndienTha\u00eflandeTimor orientalTogoTokelauTongaTrinit\u00e9 et TobagoTunisieTurkm\u00e9nistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (R\u00e9publique bolivarienne du)VietnamWallis et FutunaY\u00e9menZambieZimbabwe\u00c9gypte\u00c9mirats arabes unis\u00c9quateur\u00c9rythr\u00e9e\u00c9tat de la cit\u00e9 du Vatican\u00c9tats-Unis d\u2019Am\u00e9rique\u00c9thiopie\u00cele Bouvet\u00cele Christmas\u00cele Maurice\u00cele Norfolk\u00cele de Man\u00celes Ca\u00efmans\u00celes Cocos (Keeling)\u00celes Cook\u00celes Falkland (Malvinas)\u00celes F\u00e9ro\u00e9\u00celes Heard et McDonald\u00celes Mariannes du Nord\u00celes Marshall\u00celes Pitcairn\u00celes Salomon\u00celes Turques et Ca\u00efques\u00celes Vierges (Am\u00e9ricaines)\u00celes Vierges (Britanniques)\u00celes de Svalbard et Jan Mayen\u00celes mineures am\u00e9ricaines\u00celes \u00c5landPays Afin d&#8217;\u00e9viter des erreurs, SVP trouver votre adresse avec l&#8217;outil de Poste Canada.\u00a0\u00a0 Lieu de prise en charge du corps (Nom du centre hospitalier, nom du CHSLD, \u00e0 domicile, autre.) *Adresse de prise en charge du corps *Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalPaysAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina FasoBurundiB\u00e9ninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCongo (R\u00e9publique d\u00e9mocratique du)Cor\u00e9e (R\u00e9publique de)Cor\u00e9e (R\u00e9publique populaire d\u00e9mocratique de)Costa RicaCroatieCubaCura\u00e7aoC\u00f4te d\u2019IvoireDanemarkDjiboutiDominiqueEspagneEstonieEswatini (Royaume de)FidjiFinlandeFranceF\u00e9d\u00e9ration RusseGabonGambieGhanaGibraltarGrenadeGroenlandGr\u00e8ceGuadeloupeGuamGuatemalaGuerneseyGuin\u00e9eGuin\u00e9e \u00e9quatorialeGuin\u00e9e-BissauGuyaneGuyaneG\u00e9orgieG\u00e9orgie du Sud et \u00eeles Sandwich du SudHa\u00eftiHondurasHong KongHongrieIndeIndon\u00e9sieIrakIran (R\u00e9publique islamique d\u2019)Irlande (R\u00e9publique d\u2019)IslandeIsra\u00eblItalieJama\u00efqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKosovoKowe\u00eftLa R\u00e9unionLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacaoMac\u00e9doine du Nord (R\u00e9publique de)MadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)Moldova (R\u00e9publique de)MonacoMongolieMontserratMont\u00e9n\u00e9groMozambiqueMyanmarNamibieNauruNegara Brunei DarussalamNicaraguaNigerNig\u00e9riaNiueNorv\u00e8geNouvelle-Cal\u00e9donieNouvelle-Z\u00e9landeN\u00e9palOmanOugandaOuzb\u00e9kistanPakistanPalauPalestine (\u00c9tat de)PanamaPapouasie-Nouvelle-Guin\u00e9eParaguayPays-BasPhilippinesPolognePolyn\u00e9sie fran\u00e7aisePorto RicoPortugalP\u00e9rouQatarRoumanieRoyaume-Uni de Grande-Bretagne et d\u2019Irlande du NordRwandaR\u00e9publique arabe syrienneR\u00e9publique centrafricaineR\u00e9publique dominicaineR\u00e9publique d\u00e9mocratique populaire du LaosR\u00e9publique tch\u00e8queSahara occidentalSaint Barth\u00e9lemySaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-Martin (partie fran\u00e7aise)Saint-Vincent-et-les GrenadinesSainte-H\u00e9l\u00e8ne, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa am\u00e9ricainesSao Tom\u00e9 et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlov\u00e9nieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSu\u00e8deS\u00e9n\u00e9galTadjikistanTaiwan, R\u00e9publique de ChineTanzanie (R\u00e9publique-Unie de)TchadTerres Australes Fran\u00e7aisesTerritoire britannique de l\u2019oc\u00e9an IndienTha\u00eflandeTimor orientalTogoTokelauTongaTrinit\u00e9 et TobagoTunisieTurkm\u00e9nistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (R\u00e9publique bolivarienne du)VietnamWallis et FutunaY\u00e9menZambieZimbabwe\u00c9gypte\u00c9mirats arabes unis\u00c9quateur\u00c9rythr\u00e9e\u00c9tat de la cit\u00e9 du Vatican\u00c9tats-Unis d\u2019Am\u00e9rique\u00c9thiopie\u00cele Bouvet\u00cele Christmas\u00cele Maurice\u00cele Norfolk\u00cele de Man\u00celes Ca\u00efmans\u00celes Cocos (Keeling)\u00celes Cook\u00celes Falkland (Malvinas)\u00celes F\u00e9ro\u00e9\u00celes Heard et McDonald\u00celes Mariannes du Nord\u00celes Marshall\u00celes Pitcairn\u00celes Salomon\u00celes Turques et Ca\u00efques\u00celes Vierges (Am\u00e9ricaines)\u00celes Vierges (Britanniques)\u00celes de Svalbard et Jan Mayen\u00celes mineures am\u00e9ricaines\u00celes \u00c5landPays Afin d&#8217;\u00e9viter des erreurs, SVP trouver votre adresse avec l&#8217;outil de Poste Canada.\u00a0\u00a0 Effets personnels En raison de la situation actuelle entourant le coronavirus, il est maintenant de votre responsabilit\u00e9 de r\u00e9cup\u00e9rer les effets personnels du d\u00e9funt au lieu du d\u00e9c\u00e8s (ex: Centre hospitalier, Chsld, etc.) * D&#8217;accord En appuyant sur le bouton &quot;Soumettre&quot; J\u2019autorise Services fun\u00e9raire Azur incin\u00e9ration inc. \u00e0 transmettre et utiliser l\u2019ensemble des renseignements n\u00e9cessaires en conformit\u00e9 avec la Politique de protection des renseignements personnels et politique de confidentialit\u00e9. * D&#8217;accord Politique de protection des renseignements personnels et politique de confidentialit\u00e9Message Suivant\" \/>\n<meta property=\"og:url\" content=\"https:\/\/azurdeces.com\/en\/transport-request\/\" \/>\n<meta property=\"og:site_name\" content=\"Services fun\u00e9raires Azur incin\u00e9ration\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-23T11:22:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/azurdeces.com\/wp-content\/uploads\/2022\/02\/Logo_Postes_Canada.svg-1.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" 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incin\u00e9ration","og_description":"Requ\u00eate de transportVeuillez activer JavaScript dans votre navigateur pour remplir ce formulaire. D\u00e9clarant Nom complet du d\u00e9clarant *Pr\u00e9nomNomCourrielE-mailConfirmez l\u2019e-mailNum\u00e9ro de t\u00e9l\u00e9phone * D\u00e9funt(e) Nom complet du d\u00e9funt(e) *Pr\u00e9nomNomPoids estim\u00e9 *0 &#8211; 100 lbs101 &#8211; 150 lbs151 &#8211; 200 lbs201 &#8211; 250 lbs251 &#8211; 300 lbs301 &#8211; 350 lbs351 &#8211; 400 lbs401 &#8211; 450 lbs451 &#8211; 500 lbsLieu du d\u00e9c\u00e8s (Nom du centre hospitalier, nom du CHSLD, \u00e0 domicile, autre.) *Adresse du d\u00e9c\u00e8s *Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalPaysAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina 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de)MadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicron\u00e9sie (\u00c9tats f\u00e9d\u00e9r\u00e9s de)Moldova (R\u00e9publique de)MonacoMongolieMontserratMont\u00e9n\u00e9groMozambiqueMyanmarNamibieNauruNegara Brunei DarussalamNicaraguaNigerNig\u00e9riaNiueNorv\u00e8geNouvelle-Cal\u00e9donieNouvelle-Z\u00e9landeN\u00e9palOmanOugandaOuzb\u00e9kistanPakistanPalauPalestine (\u00c9tat de)PanamaPapouasie-Nouvelle-Guin\u00e9eParaguayPays-BasPhilippinesPolognePolyn\u00e9sie fran\u00e7aisePorto RicoPortugalP\u00e9rouQatarRoumanieRoyaume-Uni de Grande-Bretagne et d\u2019Irlande du NordRwandaR\u00e9publique arabe syrienneR\u00e9publique centrafricaineR\u00e9publique dominicaineR\u00e9publique d\u00e9mocratique populaire du LaosR\u00e9publique tch\u00e8queSahara occidentalSaint Barth\u00e9lemySaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-Martin (partie fran\u00e7aise)Saint-Vincent-et-les GrenadinesSainte-H\u00e9l\u00e8ne, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa am\u00e9ricainesSao Tom\u00e9 et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlov\u00e9nieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSu\u00e8deS\u00e9n\u00e9galTadjikistanTaiwan, R\u00e9publique de ChineTanzanie (R\u00e9publique-Unie de)TchadTerres Australes Fran\u00e7aisesTerritoire britannique de l\u2019oc\u00e9an IndienTha\u00eflandeTimor orientalTogoTokelauTongaTrinit\u00e9 et TobagoTunisieTurkm\u00e9nistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (R\u00e9publique bolivarienne du)VietnamWallis et FutunaY\u00e9menZambieZimbabwe\u00c9gypte\u00c9mirats arabes unis\u00c9quateur\u00c9rythr\u00e9e\u00c9tat de la cit\u00e9 du Vatican\u00c9tats-Unis d\u2019Am\u00e9rique\u00c9thiopie\u00cele Bouvet\u00cele Christmas\u00cele Maurice\u00cele Norfolk\u00cele de Man\u00celes Ca\u00efmans\u00celes Cocos (Keeling)\u00celes Cook\u00celes Falkland (Malvinas)\u00celes F\u00e9ro\u00e9\u00celes Heard et McDonald\u00celes Mariannes du Nord\u00celes Marshall\u00celes Pitcairn\u00celes Salomon\u00celes Turques et Ca\u00efques\u00celes Vierges (Am\u00e9ricaines)\u00celes Vierges (Britanniques)\u00celes de Svalbard et Jan Mayen\u00celes mineures am\u00e9ricaines\u00celes \u00c5landPays Afin d&#8217;\u00e9viter des erreurs, SVP trouver votre adresse avec l&#8217;outil de Poste Canada.\u00a0\u00a0 Lieu de prise en charge du corps (Nom du centre hospitalier, nom du CHSLD, \u00e0 domicile, autre.) *Adresse de prise en charge du corps *Adresse ligne\u00a01Ville\u00c9tat \/ Province \/ R\u00e9gionCode postalPaysAfghanistanAfrique du SudAlbanieAlg\u00e9rieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArm\u00e9nieArubaAustralieAutricheAzerba\u00efdjanBahamasBahre\u00efnBangladeshBarbadeBelgiqueBelizeBermudesBhoutanBi\u00e9lorussieBolivie (\u00c9tat plurinational de)Bonaire, Saint Eustatius and SabaBosnie-Herz\u00e9govineBotswanaBr\u00e9silBulgarieBurkina 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da CunhaSainte-LucieSalvadorSamoaSamoa am\u00e9ricainesSao Tom\u00e9 et PrincipeSerbieSeychellesSierra LeoneSingapourSint Maarten (partie hollandaise)SlovaquieSlov\u00e9nieSomalieSoudanSoudan du SudSri LankaSuisseSurinamSu\u00e8deS\u00e9n\u00e9galTadjikistanTaiwan, R\u00e9publique de ChineTanzanie (R\u00e9publique-Unie de)TchadTerres Australes Fran\u00e7aisesTerritoire britannique de l\u2019oc\u00e9an IndienTha\u00eflandeTimor orientalTogoTokelauTongaTrinit\u00e9 et TobagoTunisieTurkm\u00e9nistanTurquieTuvaluUkraineUruguayVanuatuVenezuela (R\u00e9publique bolivarienne du)VietnamWallis et FutunaY\u00e9menZambieZimbabwe\u00c9gypte\u00c9mirats arabes unis\u00c9quateur\u00c9rythr\u00e9e\u00c9tat de la cit\u00e9 du Vatican\u00c9tats-Unis d\u2019Am\u00e9rique\u00c9thiopie\u00cele Bouvet\u00cele Christmas\u00cele Maurice\u00cele Norfolk\u00cele de Man\u00celes Ca\u00efmans\u00celes Cocos (Keeling)\u00celes Cook\u00celes Falkland (Malvinas)\u00celes F\u00e9ro\u00e9\u00celes Heard et McDonald\u00celes Mariannes du Nord\u00celes Marshall\u00celes Pitcairn\u00celes Salomon\u00celes Turques et Ca\u00efques\u00celes Vierges (Am\u00e9ricaines)\u00celes Vierges (Britanniques)\u00celes de Svalbard et Jan Mayen\u00celes mineures am\u00e9ricaines\u00celes \u00c5landPays Afin d&#8217;\u00e9viter des erreurs, SVP trouver votre adresse avec l&#8217;outil de Poste Canada.\u00a0\u00a0 Effets personnels En raison de la situation actuelle entourant le coronavirus, il est maintenant de votre responsabilit\u00e9 de r\u00e9cup\u00e9rer les effets personnels du d\u00e9funt au lieu du d\u00e9c\u00e8s (ex: Centre hospitalier, Chsld, etc.) * D&#8217;accord En appuyant sur le bouton &quot;Soumettre&quot; J\u2019autorise Services fun\u00e9raire Azur incin\u00e9ration inc. \u00e0 transmettre et utiliser l\u2019ensemble des renseignements n\u00e9cessaires en conformit\u00e9 avec la Politique de protection des renseignements personnels et politique de confidentialit\u00e9. * D&#8217;accord 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